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Testing Report for 2017-10-13-2-10

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

DEA: 07121844
EFIS: 0700000117
Project ID: 3807
QA Service Level: 1
DIST-CO-RTE-PM: 07-LA-5-42.8/47.3
Work Description: CONSTRUCT HOV LANES, RETAINING WALLS AND SOUND WALLS.
Location Description: LOS ANGELES COUNTY IN LOS ANGELES, GLENDALE, AND BURBANK FROM ROUTE 5/134 SEPARATION TO MAGNOLIA BOULEVARD OVERCROSSING
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: James Shih
Structure Rep.: Matthew Remo

Sample Information

DIME Sample ID: 2017-10-13-2
TL Number from the TL Form: NA
Sample Submitted By Organization: CT QASI - Los Angeles Field Laboratory
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 10/13/2017
Date that the sample was received by the laboratory/organization performing the testing: 10/17/2017
The quantity of what the sample constitutes: 38
A brief description of the sample: F1554 anchor Bolt
From where was the sample collected: Distributor
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Industrial Bolt and Supply

Material Information

Rocap Number(s): NA
Heat Number(s): NF14101170
Nut Mfg. Lot Number(s): 24875-166868
Washer Mfg. Lot Number(s): 0514-489
Bolt Specification: 105
Bolt Length(s): 29
Nut Specification: A563
Washer Specification: F436
Finish: F2329
Diameter/Size: 1.5
Bolt Mfg. Lot Number:
Rocap Test Requirement(s): NA
Lubricant Requirements(s): Blue

Test Information

DIME Test ID: 2017-10-13-2-10
Test Method: ASTM E18-15: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Date Tested: 10/20/2017
Verified Date: 10/24/2017
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Blvd,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: paul.lukkarila@dot.ca.gov
Organization Phone: (916) 227-7253
General Comments for this Test:
Test Result Compliance: complies
Additional Comments When Verified :

Submitted Test Results

Sample No.: 1A
Rocap Number: no data
Heat Number(s): no data
Mfg. Lot Number: 0514-489
Finish Coating: ASTM F2329 - Hot Dip
Product Markings: TIS F436
Size: 1.5 in
Bolt Length: no data
Hardness Reading Scale: C Scale
Hardness Reading Average: 39.85
Spacing: Ok